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Claim Temperly, Joanne E. HERRLING, CLARK, HARTZHEIM & SIDDALL LTD. 800 NORTH lYNNDALE DRIVE' APPLETON, WISCONSIN 54914 PHO,NE (920) 739-7366 . FAX (920) 739-6352 April 13,2004 Charles J. HARTZHEIM MichaelS-SIDDALl. Chanes D. KOEHLER Kevin LONERGAN Robert B. LOOMIS Johh D. CLAYPOOL Greg P CURTIS Richard T. ELROD Mark J. McGINNIS Erika LEUFFEN SALERNO TImothy B. ANDERSON Kelly S. KEllY Lance E. MUEllER OF COUNSEL: Don R: HERRUNG RogerW CLARK VIA FACSIMILE AND U.S. MAIL Jeanne Schneider City Hall 50 W. 13th Street Dubuque, IS 52001 RE: Joanne E.TemperIyv. City of Dubuque, Iowa Dear Ms. Schneider: Enclosed for filing is a Notice of Retainer and Claim Against the City of Dubuque, Iowa fonn. Ms. JoaÍme TemperIyhas retained the HerrIing Clark Law Finn to represent her in this matter. On behalf DIMs: TemperIy, the claim against the City of Dubuque, Iowa is being filed with your office today. It is my understanding that this matter will beplaced on the agenda for the City Counsel's meeting on Monday, April 19,2004. Please contact me if you have any questions or concerns. MJMltind Enclosure cc: Ms. Joanne E. TemperIy - Attorney Barry Lindahl HERRUNG CLARK LAW FIRM GREEN BAY OFFICE:. (920)-46<3-7366' NEW LONDON OFFICE: (9;;0) 982'9652 STATE OF IOWA CIRCUIT COURT DUBUQUE COUNTY JOANNE E. TEMPERL Y, Plaintiff, NOTICE OF RETAINER vs. CITY OF DUBUQUE, IOWA, Case No. Defendant. PLEASE TAKE NOTICE that we have been retained by and appear for the Plaintiff, Joanne E. TemperIy, in the above-entitled action, and we hereby demand that copies of all proceedings in this action subsequent to the Sununons and Complaint be served upon us at our offices at 800 N. Lynndale Drive, Appleton, Wisconsin 54914. Dated this l1' day of -~ ,2004 HERRLING,CLAJUK,HARTZHEIM & SIDDALL, LTD. Attorneys for Plaintiff BY: Mark J. cGinnis State B Member No. 1027530 800 N. ¡; dale Drive Appleton, WI 54914 920/739-7366 mmcginnis@herrlingclark.com APR-13-04 rUE 08:21 AM DUBUQUE CITY CLERK FAX NO. 563 589 0890 D, 02 CLAIM AGAINST THE CITY Of DUBUQUEj'IOWA l'his writien report constitutes your claim against the City of Dubuque, lúwa. You should complete thb form in full and attach any edditional information that supports your claim. The CI¡;,il11lnuGt be fìlod with the City Clerk at City Hail, 50 W. 131h St., Dubuque, IA 52001, II willihen b(¡ referred by the City Council to th,~ appropriate department for ìnvcstig¡IUon. Once thai invù!;¡¡gfìt.!on I::; completed, a report and recommendation will be submitted to the City Coun{:!!. Y()U will be provided with rI copy 01 111<'11 mport and recommendation. rtu:: FINAl. Di~CJSION ON ALL CLAIMS IS rJiAD[ BY THE CITY COUNCIL. NO EMPLOYEE OF THE CITY Or- DUBUQUE HAS THE AUTI-lORITV TO MAKE ANY REPRESENTATION TO YOU AS 'm WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID, i. Name of C¡n¡m<ml:__JO~~-=~:!,.:~-~.:.:.2:~----------- 2. Addre!;'3:._,__1?-Q.~,_~2_4..f?_J!aze:L.çL;:§en, W~.êÇ9[1.ê.tIL5381 L______--....-- 3, T.~lepho!1ú Ntlmber:_~~~:8_54-2441 -"--'-~----_._---_.. --,-_.- 4. (late of h'l'::ideo!;,._- - Jan_,:ar~_2?: 2004__.__...,-- '--- ------'--""-"'-' 5, Time of -¡i1G¡d~,nl;__Ul.J2.._¡¡.L!1!~rQ<cil!l.9c!=:.§'.J-.Y_L-_---,....__._~.~~._-- ß. Locaiion ;)f InGident (Be s¡:u3cific):__!,'j-,!:§'--~!~~....Q.iïQ.£...I.~nter..L...P..~.þ_~~e ,-Y¿._.._-- ---....".- "-------'----"..-.,- "------"'" -..---.--.- - -..-------..--..-- 7. DESCRmE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give full details upm1 which you base your cbim. If a City employee was involved, give the emple"pe's wmu:! \ Ms. Irfeinperíy wås attending a basketball gameaat Five Flags Civic Center. As '.ghe-~'k-icng"-«r-.~sea-b,,--"S-fle-4H;~-aflã-€ 0 11 iT R i e: fl E-e£-Y-l-'&e4--i~-.~y.s.i~ a 1 injury. She tripped as she wasawalking from the tarp covering the ince onto _t.he_b.¡M,.Js:.§...t];¿g,.J...L%.J.P9.r.,--..-...At~l:1!L...til!1~__q.;r....tÌ1ê". incident..L... there was not....§!'J~!.etal guard on that area protecting individuals from tripping in that area. """'-."""-'-------"""'-""'-- '.""".".. ....... --- ----""--'" -"-..----- B. What wovo weather'conditiùns: like?_-N€!-t ...a.pp1..i.c.ah1.£..-.-.__...__.._---..-._--- 9. Give n~:me and <!ddress of any witnesses:.LiJld.a....fí.¡;¡aQ.eIR and Mo:U.'y"_Kuepers. individuals reside at 702 Park Lane, Hazel Green, Wisconsin §3811 Bot,Þ - -.--....--... --- --'-".-"."-"---------.... 'j O. . Did po!ìq". ¡l1ve.stig~t.~? (If so, give na!TI($ 0'1 officers.) ......N.o..--..-....- ------' -"'.. ""'.."..-..-' ---.--..--.. 11. Wi>:;; anyono injured'? (II so. give nameD, addrf.Jsses, and extent of injuries). Yes. Joanne E. Temperly, Box 246 Hazel Green, Wisconsin ã3811~r Broken wrist /ërrm...wtrì'ctr-requlLed cIm'r~-'rë'crüc1õî'õñ-Wï"f-n long arm ë-ã'š-'C"""-LacerãlõTôñ""ã])Qve right eye which required six stitches --.. ._----_._.._..(:)- ---. .-. ----.-.---.----...--'-- ---....---- ,,-'--"----'- APR-13-04 rUE 08:22 AM DUBUQUE CITY CLERK FAX NO, 563 589 0890 P. 03 12. WM any dmnage done to property? (If so, d'f!sçribe property and the extent of damages. Attach esHmales of damages or describe b~$is for ascertaining extent of damage.) Yes. Eyeglasses. "'--'-'--' '-'-----------...-.. ,. "----'-"""----"""-"""- --. ----------...---....--.--- ......_------...... .-,-,,---------- ___n___"- "-' ---------"-"----"-------""--- ....._------,,-,----- 13. Wtmt o1llu d¡:Hmlges do you claim, if any"(_~:.?Jcal~2:~~ast _~..::d future )-~ prescriptionmexpenses; lost wages, expenses to hire an assistant/ pain and suffering, lost money from security deposit for Florida trip. ._------,_.,--,... -.-----.--.,-..-.---------- -j'1. B¡we you betH} compensated for any p<lrt or all of your ¡;131m by any insurance com¡:mny? (If ::;0, give n:1me and address of II'I$unmce company and "Imount p;:lId.) No. --.---.-...-,-,.,..,- --"".--...-..-."""... -,...... ""----"---"-'--'------'- "---"'--------..' """--'----'--'---------""'--'----'...--,.-----,-..,-.....-- 15. What afi1Plml do you claim from the City of Dubuque?_JJ.W,::noun a t-Uli 5 t im'á' '....-...,...-.,.....--.-".--,,-.,-- ,..----.-, ----...-...-...-.. ..- '--.----..---.,- Hi. Why {:It, you c!3im tl1", City of Dubuque i.!, resp<:Hlsibte?_The C:i,J;'y"""of Dubuq\!.Ll~t"¿'spon responsible for maintaining a safe environment and a safe waltmgg path for individuals at Five Flags Civic Center. This did not occur on January 17, --70'O"2f7'" "T1'i'E'" L:1 tyooCîJû15ïIëj:'iIë-ÏãîTe(!....tõ"'ñãVe a metal""güãï'õ""'õ"ïltñ'"é-"W1'!'IR'tTIgþath to assist individuals and provide a safe walking environment. . .-....-.---.........'"..--.-... -.'------..-..-." ""------'-"- 17. Have you ifìndo any c!¡¡im ügaiost Glwone clse for damages as a result of this incident? (If YCI$, give n,,~me and ¡:¡ddress.) -1i~... "-'--,. ---...---------..." -_'_-'-_'_,-,._",.",..", "'.-.---.,.....-----....-...,-,-. 18, If UI!! fm"w~r to Oul1stion "17 is yes, have you received any payment from that $ource, and if so, 10 w!!,,! amount? No. Appleton, Wisconsin Dated at B1:IhtrqTre-,rowaihls -..-.--....-... --_...,- ---"""-'---"""""---'-"""""- ----- m ~ d'y "f jit~[Jjmt,:..20 ~ ~Ignature) Mark J. McGinnis (Print Name) Attorney for Joanne E. Temperly (Aoev. 1/00 &7/01)